NPI | 1609463447 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN LEAHY President/CEO 574-256-3935 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2020-12-28 |
Last Update Date | 2020-12-28 |